OLGA VLADIMIROVNA WYMORE
NPI 1528858859
Nurse Practitioner - Psychiatric/Mental Health in Woodbridge, VA
About Olga Vladimirovna Wymore NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLGA VLADIMIROVNA WYMORE (NPI 1528858859) is an individual psychiatric/mental health provider in Woodbridge, Virginia, licensed in Virginia (24193441) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Olga Vladimirovna Wymore is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Olga Wymore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Woodbridge, VA 22192
- Reassigned Medicare billing, Virginia enrollment
- 7 clinicians in this Medicare group
Arlington, VA 22203
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- 1,534 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22192 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WOODBRIDGE, VA 22192
WOODBRIDGE, VA 22192
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Olga Wymore's NPI number?
The NPI number for Olga Wymore is 1528858859. It was assigned to this individual provider in the NPPES registry on May 9, 2025.
Where is Olga Wymore located?
Olga Wymore practices at 13000 Harbor Center Dr Ste 103, Woodbridge, VA 22192. The listed phone number is (804) 982-4370.
What is Olga Wymore's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Olga Wymore enrolled in Medicare?
Yes. Olga Wymore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Olga Wymore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Olga Wymore reassigns Medicare benefits to 2 organizations: Potomac Shores Mental Health & Wellness LLC (Woodbridge, VA) and Privia Medical Group, LLC (Arlington, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Olga Wymore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Olga Wymore was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Olga Vladimirovna Wymore · NPI 1528858859
Psychiatric/Mental Health physician in Woodbridge, Virginia. Individual provider, active in the CMS NPPES registry since May 9, 2025.
## Identity
- **NPI:** 1528858859 (Entity type: Individual)
- **Enumerated:** May 9, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 24193441 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 13000 HARBOR CENTER DR STE 103, Woodbridge, VA 22192-2847
- **Phone:** (804) 982-4370
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Potomac Shores Mental Health & Wellness LLC (NPI 1902562507, Woodbridge, VA); Privia Medical Group, LLC (NPI 1013042480, Arlington, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** May 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1528858859) · Data from the CMS NPPES public registry.